Drugs During Pregnancy and Lactation

"Geared to an international audience, this desk reference for medications and how they affect pregnancy and lactation does a solid job of highlighting the pertinent information while covering worthwhile medications. Score: 70 - 3 Stars" --Doody's"A welcome edition to an already thorough reference...succinct texts such as this are invaluable and worthy of a spot on a bookshelf of any health care practitioner who advises pregnant or lactating women." --Myla Moretti, Motherisk Program, Toronto, Ontario, in Canadian Journal of Hospital Pharmacy

• 1. General Commentary on drug therapy and drug risks in pregnancy2. Specific drug therapties during pregnancy2.1 Analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and antigout medications2.2 Allergy and hyosensitization therapy2.3 Antiasthmatic and cough medication2.4 Nausea and vomiting in pregnancy2.5 Gastro-intestinal medications, hyoplipidemic agents and spasmolytics2.6 Anti-infective Agents2.7 Vaccines and immunoglobulins2.8 Heart and blood medications2.9 Anticoagulants, thrombocyte aggregation inhibitors, fibrinolyrics,and volume replacement agents2.10 Epilepsy and antiepileptic medications2.11 Psychotropic drugs2.12 Immunosuppression, rheumatic diseases, multiple sclerosis, and Wilson's disease2.13 Antineoplastic drugs2.14 Uterine contraction agents, tocolytics, vaginal therapeutics and local contraceptives2.15 Hormones2.16 General and local anesthetics and muscle relaxants2.17 Dermatological medications and local therapeutics2.18 Vitamins, minerals and trace elements2.19 Herbs during pregnancy2.20 Diagnostic agents2.21 Recreational drugs2.22 Poisonings and toxins2.23 Occupational, industrial and environmental agents3. General commentary on drug therapy and drug risk during lactation3.1 The advances of breastfeading versus the risks of maternal medication3.2 The passage of medication into the mother's milk3.3 Infant characteristics3.4 Milk plasma ratio3.5 Amount of medication in the milk and relative dose3.6 Toxicity of medications in the mother's milk3.7 Medications that affect lactation3.8 Breastfeeding support4. Specific drug therapies during lactation4.1 Analgesics, antiphlogistics and anesthetics4.2 Antiallergics, antiasthmatics and antitussives4.3 Gastrointestinal drugs4.4 Anti-infectives4.5 Vaccines and immunoglobulins 4.6 Cardiovascular drugs and diuretics4.7 Anticoagulants, thrombocyte aggregation inhibitors and fibrinolytics4.8 Antiepileptics4.9 Psychotropic drugs4.10 Immunomodulating and antineoplastic agents4.11 Hormones and hormone antagonists4.12 Dermatological medication and local therapeutics4.13 Alternative remedies, vitamins, and minerals4.14 Contrast media, radionuclides and diagnostics4.15 Infections during breastfeeding4.16 Recreational drugs4.17 Plant toxins4.18 Industrial chemicals and environmental contaminants4.18.1 Persistent organochlorine compounds (pesticides, polychlorinated biphenyls and dioxins)4.18.2 Mercury 4.18.3 Lead4.18.4 Cadmium4.18.5 Other contaminants4.18.6 Breasfeeding despite environmental contaminants?4.18.7 Breastfeeding and the workplace